Form TBD Service Provider Directory

EPA's Natural Gas STAR Program

Service Provider Directory Form

EPA's Natural Gas STAR Program (Service Provider Directory)

OMB: 2060-0328

Document [docx]
Download: docx | pdf

Proposed Service Provider Directory Contact Information Form (Web Form)


This form should be completed by companies that are interested in being added to the Natural Gas STAR Service Provider Directory.


Top of Form

First Name (Required)

First name of company point of contact.

Shape1

Last Name (Required)

Last name of company point of contact.

Shape2

Company/Organization Name (Required)

Name of the company/organization.

Shape3

Street Address (Required)

Enter the company street address.

Shape4

City (Required)

Enter the company city.

Shape5

State (Required)

Enter the company state.

Shape6

Zip (Required)

Enter the company zip code.

Shape7

Country (Required)

Select the company country.

Shape8

Email Address (Required)

Email address of company point of contact.

Phone Number (Required)

Phone number of company point of contact.

Shape9

Fax Number

Fax number of company point of contact.

Shape10

Website Address

Website address for the company/organization.

Shape11

Services Description (Required)

Shape12

Service Category (Required)

Identify applicable service categories.

Shape13 Emission Inventories/Tracking/Source Identification Services

Shape14 Methane Leak Identification/Quantification/Monitoring Services

Shape15 Project Development/Financing/Carbon Markets Services

Shape16 Technology

Service Category - Other

Identify other service categories not listed above.

Shape17

Technology

Identify applicable technologies.

Shape18 Compressors/Engines

Shape19 Dehydrators

Shape20 Methane Leak Identification/Measurement Equipment

Shape21 Pipelines

Shape22 Pneumatics/Controls

Shape23 Pumps

Shape24 Tanks

Shape25 Valves

Shape26 Vapor Recovery

Shape27 Wells

Technology - Other

Identify other technology categories not listed above.

Shape28

Sector (Required)

Identify applicable sectors.

Shape29 Production

Shape30 Processing

Shape31 Transmission

Shape32 Distribution


Would You Like to Receive Natural Gas STAR Email Updates? (Required)

Shape33 Yes

Shape34 No



NOTE: EPA created the Service Provider Directory to share information on service and technology providers that can facilitate methane emission reduction activities, not to endorse particular companies or products. Providing contact information and links to non-EPA websites does not constitute an endorsement by EPA or any of its employees.

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File Modified0000-00-00
File Created0000-00-00

© 2024 OMB.report | Privacy Policy